Provider Demographics
NPI:1831205053
Name:RAO, HARSHIT S (MD)
Entity type:Individual
Prefix:
First Name:HARSHIT
Middle Name:S
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-4866
Mailing Address - Country:US
Mailing Address - Phone:732-666-1015
Mailing Address - Fax:
Practice Address - Street 1:1 ROBERT WOOD JOHNSON PL
Practice Address - Street 2:MEB 564
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1928
Practice Address - Country:US
Practice Address - Phone:732-235-7840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08037200207R00000X
TXP8301207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX329406802Medicaid
TX329406803Medicaid
TX329406801Medicaid
TXP01300296OtherMEDICARE RAILROAD
NJ0110787Medicaid
TX327165YNAQMedicare PIN
TX329406801Medicaid
TX327165YP78Medicare PIN
TXP01300296OtherMEDICARE RAILROAD
NJ0110787Medicaid
NJ107069AT2Medicare PIN